Tavallaei, DMD, Corporation
Tavallaei, DMD, Corporation is a Pediatric Dentistry in Elk Grove, California. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
9184 E Stockton Blvd Ste AElk Grove, CA 95624-9510
Phone: (916) 271-3737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X |
|---|
Record details
| NPI number | 1922261882 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Monica Tavallaei — Owner · (916) 271-3737 |
| Other names | Make A Smile |
| NPI enumerated | July 9, 2008 |
| Last updated in NPPES | August 24, 2022 |
| Certification date | August 24, 2022 |
| Mailing address | 2260 E Bidwell St # 314, Folsom, CA 95630-3555 |
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